| NPI | 1992248918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA MARIAM KHAN Director 760-641-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G85632) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-23 |